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Endometrial tissue in peritoneal fluid

Bartosik D et al., 1986

Fertility and sterility, 46(5), 796-800

DOI 10.1016/s0015-0282(16)49813-4 PMID 3780999 Source

Abstract

Peritoneal fluid (PF) was studied for the presence of endometrial tissue in a consecutive series of 67 women (with documented tubal patency) undergoing diagnostic laparoscopy, tubal lavage, and hysteroscopy. PF was completely aspirated from the cul-de-sac both before and after uterine irrigation. The PF was then analyzed for the presence of endometrial tissue. In native PF no significant difference in the incidence of endometrial tissue between patients with (19%) and without (11%) endometriosis (P = 0.6) was observed. Refluxed PF, obtained after uterine irrigation, showed a significantly higher incidence of endometrial tissue in women with endometriosis (76%) as compared to controls (42%) (P = 0.03). We propose two models to explain the development of endometriosis. These are not mutually exclusive, may be independent of each other, and may represent two distinct pathophysiologic disease processes.

Topics

Endometriosis > Pathophysiology > MechanismsEndometriosis > Diagnosis > Laparoscopy
endometrial tissue peritoneal fluid, retrograde menstruation endometriosis, endometriosis pathophysiology peritoneal cavity, cul de sac endometrial cells, refluxed menstrual tissue endometriosis, uterine irrigation peritoneal fluid, endometriosis development models, laparoscopy peritoneal fluid analysis, endometrial tissue implantation mechanism, endometriosis disease process theories

Cite this article

Bartosik, D., Jacobs, S. L., & Kelly, L. J. (1986). Endometrial tissue in peritoneal fluid. *Fertility and sterility*, *46*(5), 796-800. https://doi.org/10.1016/s0015-0282(16)49813-4

Keywords

Adolescent, Adult, Ascitic Fluid, Endometriosis, Endometrium, Female, Humans

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